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中医药研究论丛
 271.1中医师、护理师、药师面对新冠肺炎疫情之 焦虑情形与疫苗副作用之中医处置研究：以 台北市中医医疗院所为例
TJ TCM.27(1) : 1-11, 2024
DOI : 10.6516/TJTCM.202403_27(1).0001
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中医师、护理师、药师面对新冠肺炎疫情之
焦虑情形与疫苗副作用之中医处置研究：以
台北市中医医疗院所为例
Anxiety Among Traditional Chinese Medicine Practitioners, Nurses, and Pharmacists
During the COVID-19 Pandemic and the Role of Traditional Chinese Medicine in
Managing Vaccine Side Effects:A Cross-Sectional Study of Traditional Chinese Medicine Healthcare Facilities in Taipei City
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林舜谷1,2,3 刘洁心4,* 黄建荣4,5,*
1 台北市立联合医院仁爱院区
2 台北市立大学
3 国立阳明交通大学公共卫生研究所
4 国立台湾师范大学健康促进与卫生教育学系
5 台北市中医师公会
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【摘要】
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背景：对中医专业人员面对疫情时的压力状态、对於医疗成效的信赖程度、以及面对疫苗副作用的态度，过去并没有足够的调查。本研究的目的是分析台湾中医人员面对疫情时的压力，以及对於中医治疗的信心程度；此外，我们也分析施打疫苗时的副作用，以及使用中医缓解副作用的满意程度。
方法：我们采用横断式调查方法，分析台北市中医师公会疫苗调查资料库，内涵台北市中医师公会於2021 年4-6 月发放的横断式问卷调查。压力评估我们将采用｢急性压力量表｣、对於中医就医及满意度我们将采用｢新冠肺炎中医态度调查表｣、并使用｢疫苗副作用调查表｣来评估接种疫苗後的副作用情形。我们在计算各量表总分後，比较不同中医专业人员对疫情压力、疫苗和中医态度的差异性，包含总分与各次项分数变化，并以回归分析评估压力和中医态度间的
相关性。
结果：本计画共收录281 位个案，我们发现台湾中医专业人员之急性压力量表总分平均为42.1 分，标准差11.4 分，在总分80 分之问卷急性压力量表中属於中等急性压力。作为中医专业人员，受访者对中医之信心分数平均为8.7 分，标准差1.6 分。对中医满意度平均值8.5 分，标准差1.7 分。均属於较高水准，且受访者在出现疫苗副作用後有超过七成愿意接受中医治疗。在施打疫苗後，中医专业群体中有93.2%的受访者出现疫苗相关副作用，且在12 小时内出现副作用的比率为43.1%。此比例高於针对一般民众得调查结果。回归分析发现疫
苗注射的副作用可能会增加急性压力，包含关节疼痛、畏寒、肌肉酸痛与发烧均是可能的影响因子，而透过中医治疗疫苗相关副作用可能可以缓解疫情相关的压力。
结论：本研究探讨中医专业族群对於｢疫苗｣此一西医预防药品的施打後症状，与接受中医治疗相关副作用的信心与满意度，相关成果可作为未来推广传染病预防措施的政策叁考。
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【关键词】丹溪心法中医、新冠肺炎、疫苗、压力、医疗专业人员
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Shun-Ku Lin1,2,3 Chieh-Hsing Liu4,* Jian-Rong Huang4,5,*
1Taipei City Hospital, RanAi branch
2University of Taipei
3Institute of Public Health, National Yang-Ming Chiao Tung University
4Department of Health Promotion and Health Education, National Taiwan Normal University
5Taipei Chinese Medical Association
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【Summary】
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Abstract
Background: This research addresses the lack of sufficient investigation into stress levels, confidence in medical efficacy, and attitudes towards vaccine side effects among Traditional Chinese Medicine (TCM) professionals during the pandemic. The study aims to analyze stress levels and confidence in TCM treatment among TCM practitioners in Taiwan during the pandemic. Additionally, it examines vaccine side effects experienced by these professionals and their satisfaction with using TCM to alleviate these side effects.
Methods: Data from the Taipei Chinese Medicine Association’s vaccine survey database were analyzed in this cross-sectional study. The questionnaire was distributed between April and June 2021 to TCM professionals in Taipei. Stress levels were assessed using the "Acute Stress Scale," TCM attitudes and satisfaction were evaluated with the "COVID-19 Traditional Chinese Medicine Attitude Scale," and vaccine side effects were assessed using the "Vaccine Side Effect Survey." Comparisons were made among TCM professionals regarding pandemic-related stress, vaccine attitudes, and TCM attitudes, including total scores and individual subscale scores. Regression analysis was conducted to assess the correlation between stress levels and TCM attitudes.
Results: The study included 281 participants. Taiwan’s TCM professionals had an average total score of 42.1 on the Acute Stress Scale, indicating a moderate level of acute stress. Participants exhibited high confidence in TCM with an average score of 8.7 and expressed high satisfaction with TCM treatment with a mean score of 8.5. Over 70% of the respondents were willing to seek TCM treatment for vaccine-related side effects. 93.2% of TCM professionals reported experiencing vaccine-related side effects, with 43.1% occurring within 12 hours, higher than the general population’s rate. Regression analysis indicated that vaccine side effects such as joint pain, chills, muscle soreness, and fever could increase acute stress. However, TCM treatment appeared to alleviate pandemic-related stress.
Conclusion: This study provides insights into post-vaccination symptoms, confidence, and satisfaction related to TCM treatment among TCM professionals in Taiwan regarding vaccination. The findings can inform future policies promoting infectious disease prevention measures.
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【Keywords】
Traditional Chinese Medicine, COVID-19, Vaccine, Stress, Healthcare Professionals
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